Provider Demographics
NPI:1184753360
Name:CAMPBELL, ALAIN LESTER (MD)
Entity type:Individual
Prefix:
First Name:ALAIN LESTER
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BOSTON ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2536
Mailing Address - Country:US
Mailing Address - Phone:781-592-3000
Mailing Address - Fax:
Practice Address - Street 1:9 BOSTON ST
Practice Address - Street 2:SUITE 9
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-2536
Practice Address - Country:US
Practice Address - Phone:781-592-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60491207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology